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Herts Valleys Clinical Commissioning Group Primary Care Commissioning Committee Part 2 in Public Thursday 19 November 2020, 3.00Pm Via Webex

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Herts Valleys Clinical Commissioning Group Primary Care Commissioning Committee Part 2 in Public Thursday 19 November 2020, 3.00Pm Via Webex Herts Valleys Clinical Commissioning Group Primary Care Commissioning Committee Part 2 in Public Thursday 19 November 2020, 3.00pm Via Webex Note concerning HVCCG management of conflicts of interest. A conflict of interest occurs where an individual’s ability to exercise judgement, or act in a role is, could be, or is seen to be impaired or otherwise influenced by his or her involvement in another role or relationship. In some circumstances, it could be reasonably considered that a conflict exists even when there is no actual conflict. In these cases it is important to still manage these perceived conflicts in order to maintain public trust. Members and attendees of the Committee are reminded of their responsibilities. To ensure transparency and openness, individuals should notify the Chair of any potential conflicts of interest in relation to agenda items, even if the interest is already formally recorded. January 2019 The Nolan Principles In May 1995, the Committee on Standards in Public Life, under the Chairmanship of Lord Nolan, established the Seven Principles of Public Life, also known as the “Nolan principles”. These principles are the basis of the ethical standards expected of all public office holders. The Herts Valleys CCG Constitution recognises that in all its work it must seek to meet the highest expectations for public accountability, standards of conduct and transparency. It will therefore ensure that the Nolan principles, set out below, are taken fully into account in its decision making and its policies in relation to standards of behaviour. 1. Selflessness. Holders of public office should act solely in terms of the public interest. 2. Integrity. Holders of public office must avoid placing themselves under any obligation to people or organisations that might try inappropriately to influence them in their work. They should not act or take decisions in order to gain financial or other material benefits for themselves, their family, or their friends. They must declare and resolve any interests and relationships. 3. Objectivity. Holders of public office must act and take decisions impartially, fairly and on merit, using the best evidence and without discrimination or bias. 4. Accountability. Holders of public office are accountable to the public for their decisions and actions and must submit themselves to the scrutiny necessary to ensure this. 5. Openness. Holders of public office should act and take decisions in an open and transparent manner. Information should not be withheld from the public unless there are clear and lawful reasons for so doing. 6. Honesty. Holders of public office should be truthful. 7. Leadership. Holders of public office should exhibit these principles in their own behaviour. They should actively promote and robustly support the principles and be willing to challenge poor behaviour wherever it occurs. January 2019 Herts Valleys Clinical Commissioning Group Draft Agenda – Part 2: Meeting in Public Primary Care (Medical Services) Commissioning Committee (PCCC) 19 November 2020, 3.00-4.30pm, via Microsoft Teams Committee quorum: One Lay member (Chair or Vice Chair), Two executive voting representatives, One non-conflicted clinician voting member. Part 1 – MATTERS TO BE CONSIDERED WITHOUT THE PUBLIC AND PRESS PRESENT In accordance with section 1 (2) Public Bodies (Admissions to Meetings Act 1960), The Committee resolves that: Representatives of the press, and other members of the public, be excluded from this meeting having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest. Part 2 – MATTERS TO BE CONSIDERED WITH THE PUBLIC AND PRESS PRESENT 15:00 1 Chair’s introduction and apologies for absence To note Chair 2 Interests to declare To note Chair 3 Minutes of previous meeting For approval Chair 4 Matters arising For discussion Chair 5 Terms of Reference approved by the board To note Chair 6 Committee work plan For discussion Chair Strategy and Performance 15:20 7 Primary Care Directorate Report For assurance Michelle Campbell 15.40 8 GP Forward View workforce plan update For assurance Joyce Sweeney 15:50 9 PCN Development Funding Allocations proposal For approval Michelle Campbell 16.00 10 Flu programme uptake report For assurance Lynn Talbot 16:10 11 Finance report For discussion Elke Taylor 16:20 12 PMOT summary paper For approval Sarah Crotty Closing items 16:25 13 Reflection on how conflicts of interest were For agreement Chair managed in the meeting 14 Reflection on equality and diversity in relation to decisions made 15 New risks identified 16 Items for cascade to localities and staff Next meeting: 21 January 2021, 14.30-16.30 Item C3 Draft Minutes Meeting : Primary Care Commissioning Committee (PCCC) Part 2 held in public Date : 20 August 2020 Time : 2.30pm Venue : Via Webex Present: Andrew Anderson (AA) Independent GP Member Daniel Carlton-Conway (DCC) GP Board Member and Locality Chair – St Albans and Harpenden Lynn Dalton (LD) Director of Primary Care David Evans (DE) Managing Director (Deputy Chair of Meeting) Trevor Fernandes (TF) GP Board Member – Dacorum and Deputy Clinical Chair Clare Molloy (CM) Deputy Director of Nursing and Quality Alan Pond (AP) Chief Finance Officer Thelma Stober (TS) Board Lay Member (Chair of meeting) In attendance: Michelle Campbell (MC) Assistant Director of Primary Care and Localities Sarah Crotty (SC) Assistant Director, Pharmacy and Medicines Optimisation (PC/68-69/20) Mike Harrison (MH) Co-CEO, BHMK LMC Sundera Kumara-Moorthy (KMo) Healthwatch Hertfordshire Representative Katy Patrick (KP) Interim Head of Corporate Governance (Minutes) Nicola Peters (NP) Head of Finance (PC/XX/20 only) Ola Sijuwade (OS) Contracting Manager – Primary Care, NHSE/I Janet Weir (JW) Senior Pharmaceutical Advisor (to PC/69/20) John Wigley (JW) Patient Representative PART 2: MATTERS TO BE CONSIDERED WITH THE PUBLIC AND PRESS PRESENT PC/60/20 Chair’s introduction and apologies for absence (Chair) 60.1 Apologies for absence had been received from committee members: Alison Gardner; Asif Faizy; Jane Halpin – David Evans to deputise; Jane Kinniburgh – Clare Molloy to deputise; Paul Smith. Apologies for absence had been received from regular attendees: David Barter & Cathy Galione, NHSE – Ola Sijuwade to deputise; Nicky Williams, LMC – Mike Harrison, Co-CEO to attend; Jim McManus, HCC; Elke Taylor – Nicola Peters to deputise; Sarah Crotty – Janet Weir to deputise. The meeting was quorate. PC/61/20 Interests to declare (Chair) 61.1 The schedule of interests declared in advance of the meeting had been reviewed by the chair and LD prior to the meeting and are attached as an appendix to these minutes. There were two items where HVCCG GPs had declared conflicts requiring action. Clinical input would be provided by AA, LD and CM. PC/62/20 Minutes of previous meeting (Chair) 62.1 The minutes of the meeting held on 18 June 2020 were reviewed. 62.2 The Committee accepted the minutes as a true record of the meeting 1 | P a g e PC/63/20 Matters arising (Chair) 63.1 Two actions had been completed and closed. PC/12.4/20 Finance report is on the agenda for today’s meeting. PC/64/20 Committee work plan 2020/21 64.1 The committee noted the updated work plan. PC/65/20 Director of Primary Care report (LD) 65.1 This paper provides the committee with assurance about work taking place in primary care, localities and all work streams. All localities have now reinstated regular meetings. Locality plans are being reviewed in the light of Covid19. They were originally signed of 18 months ago. A paper is being developed for discussion at the ICP board in September. A clinician user group is working through functionality of the GEMIMA risk stratification tool to identify patients most at risk. GEMIMA training will be rolled out to practices in September and PCN Clinical Directors are undertaking both Population Health and Risk Stratification training. Home visits have been arranged for shielding patients who would normally come into practices. Extended Access schemes were paused and repurposed to support the technology to allow non face to face consultations. Herts Urgent Care (HUC) have confirmed that their upgrade to version 3.31 of Adastra to support GP Connect, which will enable direct booking from NHS 111 into vacant appointments in Extended Access sessions, has been successful and testing can now begin with HUC and the providers. Implementation meetings are planned to take place before the end of August 2020 with a phased rollout in September to ensure the system has been robustly tested and is in place to support the system ahead of winter and a potential second peak of Covid-19. The pan-Hertfordshire Primary Care Outbreak Cell has been established with multi-agency representation. An appendix to the Business Continuity Plan template is being developed to make it clear what primary care should do in the event of an outbreak of Covid19. The ICS workforce group continues to work on its strategy and is planning a soft launch. A primary care virtual awards ceremony has been planned for late October to celebrate success and share learning. 65.2 The following points were raised in discussion: It is good to see that necessity has moved forward virtual consultations in primary care but the CCG recognises the need to look after those groups who do not have digital access. All programmes of work have been reviewed, including work with care homes and people with learning disabilities, to ensure that support is provided with any issues that arise. Enhanced Effective Resource Management meetings have been stepped back up with the support of data from GEMIMA. The intention is to share learning on primary care management and development during Covid and extend to providers in the wider system.
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